Flood Control - Elevation Certificate - 1513 E Lone Shore Drive - Lonesome Dove Sub - 11/29/2013U S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE I J - V1_. - L; 17) �2
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008
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SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al Build:ng Owne°'s Name Taunton Properties, LLC Policy Number
A2 Bw'ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P O. Route and Box No Company NAIC Number
1513 E Lone Shore Dr.
City Eagle State ID ZIP Code 83616
A3 Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 25 Block 9 Lonsome Dove Subdivision
A4. Building Use (e.g., Residential, Non- Residential, Addition, Accessory, etc.) Residential
Aye Latitude /Longitude: Let, N43 °41'06.88” Long. W116 °20'07.86 „ Horizontal Datum ❑ NAD 1927 ® NAD 1983
A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7 Building Diagram Number 1 B
A8 For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage
a) Square footage of crawlspace or enclosure(s) NIA sq ft a) Square footage of attached garage 573 sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade WA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9 b WIA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1, NFIP Community Name & Community Number 82. County Name B3. State
Eagle, City of 160003 Ada ID
B4. Map/Panel Number B5. Suffix 66. FIRM Index Date B7. FIRM Panel B8. Flood 69. Base Flood Elevalion(s) (Zone
16001CO162 H October 2, 2003 EffectivelRevised Date Zone(s) AO, use base flood depth)
February 19, 2003 AE 2570,10
810 Indicate the source of the Base Flood Elevat :on (BFE) data or base flood depth entered in Item 89.
® FIS Profile ❑ FIRM ❑ Community Determined ❑ Other /Source:
B11 Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other /Source:
B12 Is the building located in a Coasta' Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes ® No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" ® Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete
C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, Vi -V30, V (with BFE). AR ARIA, AR/AE, AR/Al-A30, ARIAH, ARIAO Complete Items C2.a -h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters
Benchmark Utilized: Project Benchmark Vertical Datum NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below ❑ NGVD 1929 0 NAVD 1988 0 Other /Source
Datum used for building elevations must be the same as that used for the BFE
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
C) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
fj Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, yr architect out, ionzed by law to certify elevation
information. I certify that the information on this CeHificale represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code, Section 1001.
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ❑ Yes ❑ No
Certifier's Name Aaron L. Ballard
retie PLS
Address 9233 W. State Street
Signature (J
License Number 12459
Company Name KM Engineering, LLP
City Boise State ID ZIP Code 83714
Date November 29, 2013 Telephone 208 -639 -6939
� 1
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions,
Check the measurement used
25729.5
® feet
❑ meters
NIA _ . .-
❑ feet
❑ meters
NIA
❑ feet
❑ meters
2572.51
® feet
❑ meters
2572 54
® feet
❑ meters
257209
® feet
❑ meters
2572.33
® feet
❑ meters
N/A
❑ feet
❑ meters
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, yr architect out, ionzed by law to certify elevation
information. I certify that the information on this CeHificale represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code, Section 1001.
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ❑ Yes ❑ No
Certifier's Name Aaron L. Ballard
retie PLS
Address 9233 W. State Street
Signature (J
License Number 12459
Company Name KM Engineering, LLP
City Boise State ID ZIP Code 83714
Date November 29, 2013 Telephone 208 -639 -6939
� 1
FEMA Form 086 -0 -33 (7112) See reverse side for continuation. Replaces all previous editions,
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Un-t. Suite, and/or B dg Nw,) or P,O. Route and Box No. Policy Number:
1513 E Lone Shore Dr
C ty Eagle State ID ZIP Code A-4616 Company NAIC Numbe•
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments Per C2e) the elevation shown is for an AC pad on the east side of building
Signature T Date 11 -29 -2013
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A {without BFE), complete Items E1 -E5 If the Certificate is intended to support a LOMA or LOMB -F request. complete Sections A B,
and C For Items El-E4, use natural grade. if available. Check the measurement used In Puerto Rico only, enter meters
El Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawispace. or enclosure) is _ _ ❑ feet El meters ❑ above or ❑ below the HAG
b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the LAG
E2. For Building D•agrams 6-9 with permanent flood openings provided in Section A Items B and/or 9 (see pages B-9 of Instructions), the next h ghe• floor
(elevation C2.b in the diagrams) of the building is __ ❑ feet ❑ meters ❑ above or ❑ below the HAG
E3. Attached garage (top of slab) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG
E4. Top of platform of machinery and /or equipment servicing the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG
E5 Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community s floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A. B. and E for Zone A (without a FEMA - issued or community- issued BFE)
or Zone AO must sign here. The statements in Sections A, B and E are correct to the best of my knowledge
Property Owner's or Owner's Authorized Representative's Name c
Address
Signature
Comments
City
Date
State ZIP Code
Telephone
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A. B, C (or E), and G
of th,s Elevaton Certificate Complete the applicable item(s) and sign below Check the measurement used in Items G8-G10 In Puerto Rico only, enter meters
G1 ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer or architect who
is authorized by law to certify elevation information (Indicate the source and date of the elevation data in the Comments area below )
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO.
G3. ❑ The following information (Items G4 -G10) is provided for community floodplain management purposes
G4. Permit Number G5 Date Permit Issued G6 Date Certificate Of Compliance /Occupancy Issued
G7, This permit has been issued for ❑ New Construction ❑ Substantial Improvement
GB Elevation of as -built lowest floor (including basement) of the building- ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site ❑ feet ❑ meters Datum
G10. Community design flood elevation ❑feet [J meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments.
FEMA Form 086 -0-33 (7112) Replaces all previous editions.
. ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt. Unit. Suite and or Bldg No ) or P O Route and Box No, Policy Number
1513 E Lone Shore Or
City Eagle State ID ZIP Code 83616 Company NAIC Number.
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View "; and, if required, "flight Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Front View fVovember 22, 2013
FEMA Form 086 -0-33 (7112) Replaces all previous editions.
a
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt, Unit Suite and /or Bldg No ) or P O Route and Box No Policy Number
1513 E Lone Shore Dr
City Eagle State ID ZIP Code 83616 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Back View November
FEMA Form 086 -0 -33 (7112) Replaces all previous editions.